Provider First Line Business Practice Location Address:
515 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
REHAB ROOM
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31404-1889
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-718-4622
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2016